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MARION COUNTY BUILDING INSPECTION <br />SENATORBLDG NO,, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE:: 588-514"7 8::00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I 8m performing work Ct1 8 property I own or occupy <br />1sm 8registered builder ORr ) the authorized fepfeserdaPYe <br />of 8 registered builder, <br />The work will bo perlormed by 8 registered buitder <br />Other___. <br /> <br />FOWN~¥Ez 09/05/91 TIME= <br /> <br /> E.VbRGREEN fC~H PARK <br /> ADDRESS <br /> <br />SIGNATURE OF APPUOANT <br /> DATE <br /> <br /> ¥^x <br /> <br />i ~NSTRUCTION TYPE <br /> <br /> 130 5PRtJCE Cf <br />AU~!SV i LLE <br /> <br /> OR ~ <br />........................... ~Ut~:~,V-t b~.6 ..... I NO <br /> <br />MAILING ADDRFSS <br /> <br /> RESI ObN T iAI <br />0~ ~E0~00MS <br /> <br /> PHON b; <br /> <br />LOT <br /> <br />RI OCK SECTION TOWNSHIP <br />DEPTH AHEA UNITS <br /> <br /> NUMBER: <br />VALUA'f tON: <br /> <br /> NO <br /> <br /> 14015 <br /> <br />ZONF <br /> <br /> NO <br /> <br />MAP <br /> <br />lYRE: ELECfRICAL PER~CliF OR APPLICATION NO: <br /> <br />34933 <br /> <br />£;C)N f RAC I f3R, NO,, 27459 <br />LICENSE NO: <br />R ,~ R ELECIRiC <br />P.O, SOX 52 <br />/URNEM, OREGON 9')'392 <br />PHONE. r /'43~2540 <br /> <br />t;,UPt-NViSiNG ~LEC f R,tCiAN/NUIVl~gR <br />RU~ELL RiCE / <br /> <br />ADOIIIONAL hbb~ <br />ELECTRICAL 5~AIE SURCHARGE <br /> <br />PAYbb: R & R ELECfRiC <br />RECEiVgD BY: c'l <br /> <br />OUANIi]Y AMOUNf <br /> T <br /> <br />TOTAL ASSESSED <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$31.50 <br /> $0,00 <br />$31 50 <br /> <br />BALANCE ,[~E $0 , O0 <br /> <br />RECEIPI NO: 36822 <br />TYPE: CK CHECK ~: 9851 <br /> <br /> THIS 1S A VALID PER~IT * THiS PEI~IiT EXPiRE~ 180 DAY~ FROM IT~ I~SUE DATE. <br />CON~TRUC¥10N CEASE~5 POR A PERIOD OF 180 DAY~, OR IF CON~TRUCTION FAIL~ TO MEET ALL <br />RE~XJIRE~IENTS OF STATE LAt~ ~ND IVlARION COUNTY BUILDING AND ZONING ORDINANCES. THIS PER,lIT <br />~HALL 8EOO~tE NULL AND VOID. <br /> <br />REMARKS: ~ PARK SVC F~R S~ACE R~6787 <br /> <br />f,X.)NALO E_ KICX)OLEW, MARION (.7.JUNTY BUILDING OFFICIAL / BY .......... ~ <br /> <br /> <br />